OMES_Form_076.pdf

PDF 286 KB Posted

Attached to
SW1031M CABLE FIBER LOCATION
Solicitation number
EV00000948
Issued by
Oklahoma

About this file

This is a Responding Bidder Information form (OMES Form CP076) issued by the Office of Management and Enterprise Services (OMES) Central Purchasing division for the State of Oklahoma. The form serves as a standardized certification document that bidders must complete and submit in response to solicitation SW1031M for Cable Fiber Location services. The solicitation seeks responses from potential suppliers to provide a complete underground cable locating and high-accuracy geographical positioning system, including all required hardware, software, mapping tools, and support services to enable the State of Oklahoma to identify, track, and manage its fiber and copper telecommunications infrastructure. State agencies and affiliates may utilize this contract on an as-needed basis.

The form requires bidders to provide general company information including FEIN/SSN, supplier ID, and company contact details. Bidders must certify their compliance status regarding several requirements: whether the company is engaged in a boycott of goods or services from Israel, registration status with the Oklahoma Secretary of State, workers' compensation insurance coverage compliance with the Oklahoma Administrative Workers' Compensation Act, and disabled veteran business enterprise status as defined by Oklahoma statute 74 O.S. § 85.44E. An authorized representative must sign and date the completed form prior to bid submission. The form does not specify pricing information, response deadlines, site visit requirements, or contract term details within its content.

View the file

Other files

File Type Posted
Exhibit_1_-_Technical_Response.pdf PDF
1.0_Bidder_Instructions.pdf PDF
OMES_Form_004.pdf PDF
Attachment_C_-_Statewide_Terms.docx DOCX document
SW1031M_CABLE_FIBER_LOCATION-Amendment_2.pdf PDF
Attachment_A_-_Purpose.pdf PDF
omes-form-cp011_(1).pdf PDF
Attachment_D_-_IT_Terms.docx DOCX document
Exhibit_2_-_Pricing.xlsx XLSX spreadsheet
Attachment_B_-_General_Terms.docx DOCX document

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Text version

OMES Form CP076 (11/2024) RESPONDING BIDDER INFORMATION | Page 1 of 1

Central Purchasing

RESPONDING BIDDER INFORMATION

You must submit a Certification for Competitive Bid and Contract along with the response to the solicitation.

1. SOLICITATION

Solicitation #

2. BIDDER GENERAL INFORMATION

FEIN/SSN Supplier ID

Company name

3. BIDDER CONTACT INFORMATION

Address

Contact name Title

Email Phone Website Fax

4. BIDDER IS ENGAGED IN BOYCOTT OF GOODS OR SERVICES FROM ISRAEL

Yes No

5. REGISTRATION WITH THE OKLAHOMA SECRETARY OF STATE

Yes Filing number:

No Prior to the contract award, the successful bidder is required to register with the Secretary of State or must attach a signed statement that provides specific details supporting the exemption the supplier is claiming (sos.ok.gov or 405- 521-3911).

6. WORKERS’ COMPENSATION INSURANCE COVERAGE

Bidder is required to provide a certificate of insurance showing proof of compliance with the Oklahoma Administrative Workers’ Compensation Act.

Yes Include a certificate of insurance with the bid.

No Exempt from the Administrative Workers’ Compensation Act pursuant to 85A O.S. § 2(18)(b)(1-11). (Attach a written, signed and dated statement on letterhead stating the reason for the exempt status. For frequently asked questions concerning workers’ compensation insurance, visit wcc.ok.gov.)

7. DISABLED VETERAN BUSINESS ENTERPRISE ACT

Yes I am a service-disabled veteran business as defined in 74 O.S. § 85.44E.

Include the following with the bid response:

1. Certification of service-disabled veteran status as verified by the appropriate federal agency.

2. Verification of not less than 51% ownership by one or more service-disabled veterans.

3. Verification of the control of the management and daily business operations by one or more service-disabled veterans.

No I do not meet the criteria as a service-disabled veteran business.

8. SIGNATURE

Authorized signature Date

Name Title https://www.sos.ok.gov/ https://www.wcc.ok.gov/

Central Purchasing
RESPONDING BIDDER INFORMATION
Solicitation:
FEINSSN:
Supplier ID:
Company name:
Contact name:
Title:
Email:
Phone:
Website:
Fax:
4 BIDDER IS ENGAGED IN BOYCOTT OF GOODS OR SERVICES FROM ISRAEL: Off
Prior to the contract award the successful bidder is required to register with the Secretary of State or must attach a: Off
Compensation Act: Off
7 DISABLED VETERAN BUSINESS ENTERPRISE ACT: Off
Date:
Name:
Title_2:
Filing number:
Address:

File details come from the government source that posted it. Updated .